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目的调查本院住院部活血化瘀类中药注射剂的不合理应用情况。方法从2013年1~12月本院住院部8个科室应用活血化瘀类中药注射剂的病历中随机抽取500份,对用药适应证、溶媒选择、剂量、疗程、配伍禁忌及联合用药方面不合理应用情况进行调查,分析原因并提出改进措施。结果本调查中共涉及应用活血化瘀类中药注射剂21个品种,其中以丹红注射液应用人次最多(32.8%),其次是注射用血栓通(30.6%),应用率明显高于其他种类(P<0.05)。不合理用药比例占11.8%,表现为适应证不符、溶媒选择不合理、超剂量、超疗程及联合用药不合理。结论本院住院部活血化瘀类中药注射剂应用广泛,但存在适应证、溶媒选择、剂量、疗程、联合用药方面不合理情况,应针对不合理用药原因采取针对性的改进措施,以提高用药效果,降低不良反应,确保患者用药安全。
Objective To investigate the irrational application of traditional Chinese medicine injection for promoting blood circulation to remove blood stasis in our hospital. Methods From January to December 2013, 500 inpatient departments of our hospital were randomly selected from the medical records of 8 departments of Chinese medicine injections for promoting blood circulation to remove blood stasis. It was not reasonable in terms of drug indications, solvent selection, dosage, duration of treatment, incompatibility with drugs and combination therapy Application situation investigation, analyze the reason and propose improvement measures. Results There were 21 Chinese herbal injections for promoting blood circulation and removing blood stasis in this survey. Among them, Danhong injection was the most frequently used (32.8%), followed by Xueshuantong injection (30.6%), the application rate was significantly higher than that of other species <0.05). Irrational drug use accounted for 11.8%, manifested as incompatible indications, solvent selection is not reasonable, overdose, overdose and combination therapy unreasonable. Conclusion There are a wide range of traditional Chinese medicine injections used in promoting blood circulation and removing blood stasis in our hospital, but there are unreasonable indications, solvent selection, dosage, course of treatment and combination therapy. Targeted improvement measures should be taken for reasons of irrational drug use to improve the effect of medication , Reduce adverse reactions, to ensure the safety of patients medication.